A non-government entity
AARP Medicare Advantage Extras from UHC TX-28 (HMO-POS)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for AARP Medicare Advantage Extras from UHC TX-28 (HMO-POS). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on AARP Medicare Advantage Extras from UHC TX-28 (HMO-POS) in 2026, please refer to our full plan details page.
AARP Medicare Advantage Extras from UHC TX-28 (HMO-POS) is a HMO-POS plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Select Counties in Texas. This plan received an overall rating of 4.5 out of 5 stars in 2026.
It's important to know that AARP Medicare Advantage Extras from UHC TX-28 (HMO-POS) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Key Plan Facts
Below are a few key facts and commonly-asked questions about AARP Medicare Advantage Extras from UHC TX-28 (HMO-POS).
Plan Costs:
The cost of a Medicare Advantage Plan is made up of four main parts.
- First, the monthly premium — the amount you pay every month.
- Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
- Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
- Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.
For AARP Medicare Advantage Extras from UHC TX-28 (HMO-POS), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $0.00. This is the amount you must pay every month.
This plan does not come with a Part B Premium reduction. You must continue to pay your Part B premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
This plan has a $520.00 drug deductible. You will need to pay this amount towards covered prescriptions before your insurance coverage for prescription medications kicks in.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $4700.00 for out-of-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $0.00 for in-network covered services, the plan will pay 100% of in-network covered costs for the rest of the year.
You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.
Common Services:
Doctor Visits:
Specialist Visits:
Emergency Room:
Urgent Care:
Sign up for AARP Medicare Advantage Extras from UHC TX-28 (HMO-POS)
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
Drug Coverage
The AARP Medicare Advantage Extras from UHC TX-28 (HMO-POS) plan features an annual drug deductible of $520. For Tier 1 preferred generic drugs, you will pay no copay for a 1-month or 3-month supply at standard pharmacies and through mail order. Tier 2 generic drugs cost a $10 copay for a 1-month supply at standard pharmacies, but you can get a 3-month supply with no copay through preferred mail order. Tier 3 preferred brand drugs require a 19% coinsurance for standard pharmacy and mail order options. For Tier 4 non-preferred drugs and Tier 5 specialty drugs, you will pay a 27% coinsurance for a 1-month supply across standard pharmacies and mail order services. This cost-sharing structure helps you easily estimate your prescription expenses when choosing this Medicare Advantage plan.
Additional Benefits
The AARP Medicare Advantage Extras from UHC TX-28 (HMO-POS) plan offers robust healthcare coverage with no copay for primary care visits, telehealth, and annual preventive services. Inpatient hospital stays require a $325 daily copay for the first six days, followed by no copay for days seven through ninety. Outpatient surgical services and lab tests also feature no copay, while specialist visits and urgent care carry low copays of up to $35 and $50 respectively. Additional benefits include dental, vision, and hearing coverage, highlighted by no copay for routine eye exams, annual hearing exams, and preventive dental care up to a $4,000 annual limit. Members also receive no copay for up to twelve one-way health-related transportation trips and chronic illness meals. Durable medical equipment, prosthetics, and dialysis services are covered with no copay and a twenty percent coinsurance.
Inpatient Hospital See details
Inpatient hospital services are covered by AARP Medicare Advantage Extras from UHC TX-28 (HMO-POS) with no coinsurance, requiring a $325 daily copay for days 1-6 and no copay for days 7-90 for both acute and psychiatric stays. This benefit is partially covered, as unlimited additional acute care days are covered with no copay, while psychiatric additional days, hospital upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
Outpatient services under the AARP Medicare Advantage Extras from UHC TX-28 (HMO-POS) plan are covered with no coinsurance, featuring no copay for ambulatory surgical center and outpatient blood services. Outpatient hospital services require a copay of $0 to $325, observation services cost a $325 daily copay, and outpatient substance abuse sessions have copays ranging from $0 to $25, with prior authorization and referrals required for most services.
Partial Hospitalization See details
Partial hospitalization services are covered by AARP Medicare Advantage Extras from UHC TX-28 (HMO-POS) with a $55.00 copay and no coinsurance. Prior authorization and a referral are required to receive these covered services.
Ambulance and Transportation Services See details
AARP Medicare Advantage Extras from UHC TX-28 (HMO-POS) covers ground and air ambulance services with a $275 copay and no coinsurance. Transportation services are partially covered, providing up to 12 one-way trips per year to plan-approved health-related locations with no copay and no coinsurance, while transportation to any health-related location is not covered.
Emergency Services See details
AARP Medicare Advantage Extras from UHC TX-28 (HMO-POS) covers emergency services with a $130 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services feature a copay ranging from $0 to $50 with no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.
Primary Care See details
Primary care and telehealth services are covered under the AARP Medicare Advantage Extras from UHC TX-28 (HMO-POS) with no copay and no coinsurance, while specialist visits require a $0 to $35 copay and no coinsurance. Physical, occupational, speech, and podiatry therapies have a $35 copay with no coinsurance, mental health services carry a $0 to $25 copay with no coinsurance, and chiropractic services are not covered.
Preventive Services See details
Preventive services are covered by AARP Medicare Advantage Extras from UHC TX-28 (HMO-POS) with no copay and no coinsurance for annual physicals, kidney disease education, glaucoma screenings, and diabetes self-management. Additional preventive benefits are partially covered, offering fitness and home safety benefits with no copay and no coinsurance, while sub-services such as health education, personal emergency response systems, medical nutrition therapy, and weight management programs are not covered.
Hearing Services See details
AARP Medicare Advantage Extras from UHC TX-28 (HMO-POS) provides partially covered hearing services, offering one routine hearing exam annually with no copay and no coinsurance, while fitting and evaluation exams are not covered. Prescription hearing aids (copays of $199.00 to $1,249.00) and OTC hearing aids (copays of $199.00 to $829.00) are covered for up to two devices per year with no coinsurance.
Vision Services See details
AARP Medicare Advantage Extras from UHC TX-28 (HMO-POS) offers partially covered vision services with no deductible and no coinsurance, though other eye exams, upgrades, and combined eyeglasses (lenses and frames) are not covered. Routine eye exams, contact lenses, and frames have no copay, while eyeglass lenses have a copay ranging from $0 to $153, all subject to a $200 combined eyewear limit every two years.
Dental Services See details
Dental services are partially covered by AARP Medicare Advantage Extras from UHC TX-28 (HMO-POS), excluding implant services and orthodontics. Covered preventive services feature no copay and no coinsurance up to a $4,000 annual limit, while Medicare-covered services carry no copay and a 20% coinsurance, and covered comprehensive services require no copay and a 50% coinsurance.
Home Infusion bundled Services See details
AARP Medicare Advantage Extras from UHC TX-28 (HMO-POS) covers home infusion bundled services with no copay, though prior authorization is required. Associated Medicare Part B chemotherapy, insulin, and other drugs require a 0% to 20% coinsurance, with insulin also having a $35 copay.
Dialysis Services See details
The AARP Medicare Advantage Extras from UHC TX-28 (HMO-POS) plan covers Dialysis Services with no copay and a 20% coinsurance. Prior authorization and a referral are required to receive these covered services.
Medical Equipment See details
AARP Medicare Advantage Extras from UHC TX-28 (HMO-POS) covers durable medical equipment, prosthetics, medical supplies, and diabetic equipment with no copay and a 20% coinsurance. Prior authorization is required for these benefits, which feature no copay for diabetic supplies and a 20% coinsurance for therapeutic shoes or inserts.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by AARP Medicare Advantage Extras from UHC TX-28 (HMO-POS), though prior authorization and referrals are required. Lab services and diagnostic radiological services have no copay and no coinsurance, while diagnostic tests require a $50 copay and no coinsurance. Outpatient X-rays require a $30 copay along with coinsurance, and therapeutic radiological services require a 20% coinsurance and a copay.
Home Health Services See details
Home health services are covered under the AARP Medicare Advantage Extras from UHC TX-28 (HMO-POS) with no copay and no coinsurance. Prior authorization and a referral are required to receive this benefit.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by AARP Medicare Advantage Extras from UHC TX-28 (HMO-POS) with no copay and no coinsurance, subject to referral and prior authorization requirements. Although some services are covered, cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and SET for PAD services are not covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is covered by AARP Medicare Advantage Extras from UHC TX-28 (HMO-POS) with no coinsurance, featuring no copay for days 1 to 20 and a $218 daily copay for days 21 to 100. Prior authorization and referrals are required, though a prior three-day hospital stay is not, and additional days beyond the 100-day Medicare limit are not covered.
Other Services See details
AARP Medicare Advantage Extras from UHC TX-28 (HMO-POS) partially covers other services, offering over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. Acupuncture and other miscellaneous services are not covered, and prior authorization is required for the meal benefit.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
*/SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.
This is a promotional communication.
Every year, Medicare evaluates plans based on a 5-star rating system.
Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.
Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period
We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.
Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.
Medicare has neither approved nor endorsed any information on this site.
Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | 8am - 11pm ET | 7 days a week
© 2023 Dog Media Solutions LLC. All rights reserved